Amanda Kreitel, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

148098 Issued in AK

Practice address

515 Sprucewood Rd
Fairbanks, AK 99709-3619

Phone

(907) 385-7694

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1427786896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SPRUCEWOOD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093619",
            "telephone_number": "907-385-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SPRUCEWOOD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093619",
            "telephone_number": "907-385-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITEL",
        "first_name": "AMANDA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AK",
            "license": "148098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "ROBERTS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matt Kraska
• Rita Claire Krater
• Tiana Kraus, LCSW
• Duana Linn Krause, LMT
• Karen Lynn Kreiser
• Janice Krenzke, M.S., CCC/SLP
• Rayanne Kriska
• Shanda Diana Kriska
• Michaela Krohn, D.C.
• Alina Krol, LMSW

• Dental Hygienist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dental Hygienist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.